OrganizationActive
Pdg, P.A
NPI 1760540280 · General Practice Dentistry · Lake Elmo, MN
Pdg, P.A is a General Practice Dentistry organization in Lake Elmo, MN (NPI 1760540280).
Provider details
- NPI number
- 1760540280
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Pdg, P.A.
- Organization subpart
- Yes
- Authorized official
- John Gulon, President(651) 633-0500
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8980 Hudson Blvd N
Lake Elmo, MN 55042-9704
Phone: (651) 735-9057
Street-level locationGet directions
Mailing address
2200 County Road C W
Roseville, MN 55113-2504
Other names (DBA / former)
- Doing business as
- Park Dental
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Pdg, P.A's NPI number?
- Pdg, P.A's National Provider Identifier (NPI) is 1760540280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pdg, P.A?
- Pdg, P.A is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pdg, P.A located?
- Pdg, P.A's practice location on file with NPPES is 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704.
- What is Pdg, P.A's phone number?
- The practice phone number listed in the NPPES registry for Pdg, P.A is (651) 735-9057.
- Who is the authorized official for Pdg, P.A?
- The authorized official listed on Pdg, P.A's NPPES record is John Gulon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pdg, P.A's NPI active?
- Yes — Pdg, P.A's NPI (1760540280) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.